Spot the Diagnosis 861-870

(861) A patient is seized with severe pain in the epigastrium has been admitted . Now there is shock like features and  muscle guard on the epigastrium right side . Spot the diagnosis ?

(862) A patient has an uncler on the lesser curvature of stomach which is more than one inch in length . Spot the diagnosis ?

(863) A patient has an uncler on the greater curvature of stomach which is less than in one inch in length . Spot the diagnosis ?

(864) A patient has an ulcer on the greater curvature which is more than one inch in length. Spot the diagnosis ?

(865) A patient has come with a hard lump in the upper abdomen and one side of testis  was removed earlier . Spot the diagnosis?

(866)  A lady patient has come . She has mooning of face , hypertension , diabetes and osteoporosis . Spot the diagnosis ? 

(867) A lady patient has come. She has breathlessness ,oedema leg , fullness of neck vein and enlarged liver . Spot the diagnosis?

(868)  A patient of 75 has come. He has deterioration of memory, incoherent thinking and faulty judgement . Spot the diagnosis?

(869) A patient has tenderness over duodenum , rapid emptying of stomach and persistent deformity of duodenal cap . Spot the diagnosis?

(870)  A patient of chronic cholecystitis has come . He has developed duodenal cap deformity . Spot the diagnosis ?

Answers .

(861) Perforation of peptic ulcer .

(862) Malignant ulcer .

(863) Malignant ulcer.

(864) Malignant ulcer .

(865) Secondary deposit in the lymph node from malignant testis .

(866) Cushing syndrome .

(867) Conjestive heart failure .

(868) Dementia .

(869) Duodenal ulcer .

(870) Duodenal cap deformity is due to chronic gall bladder disease.

Spot the Diagnosis 851-860

(851)  An already diagnosed case of carcinoma has come . Now he complains of pain . What does it indicate?

(852)  A young boy of 12 has come with a swelling on the upper portion of tibia . He says that previously only pain was there ,now swelling has developed . Spot the diagnosis?

(853) A patient has come with a cystic swelling just behind the ear . Spot the diagnosis?

(854) A patient has come with a swelling on the posterior side of the neck which has browny induration and multiple sieve like openings . Spot the diagnosis?

(855) A patient has come with a swelling. The swelling pits on pressure and there is browny induration. Spot the diagnosis?

(856) A lady has come with a black and bleeding ulcer of the big toe . When examined her liver is enlarged ,tender,hard and nodular. Spot the diagnosis?

(857) A patient has come with a swelling. There is history of reduction of the swelling at one time . The diagnosis of the swelling is thought to be malignant . Spot the diagnosis?

(858) A patient has come with a swelling . He was diagnosed as a case of sarcoma . There is a history of hectic type of temperature with rigor and sweating . Spot the diagnosis?

(859) A patient has come with a swelling . The regional lymph glands are enlarged and tender . Spot the diagnosis?

(860) A patient has come with a swelling with fixicity , local heat and ill defined margin  . Two surgeons have  difference of opinion . One says it is a case of carcinoma and the other day chronic inflammation. What is your opinion?

Answers.

(851)  Ulceration,deep infiltration and involvement of nerves .

(852) Osteogenic sarcoma .

(853) Post auricular Dermoid cyst .

(854) Carbuncle .

(855) There is suppuration .

(856) Malignant melanoma .

(857) Inflammatory swelling.

(858) The swelling contains puse .

(859) Inflammatory swelling.

(860) Chronic inflammation.

Spot the Diagnosis 841-850

(841)  A lady patient has come with neurofibromatosis of the whole body . Her one breast was removed earlier . Spot the diagnosis why her breast was removed?

(842) A patient of epilepsy has come who has neurofibromatosis . Spot the diagnosis?

(843) A patient has come with heart murmur  and fever . He has developed epilepsy . Spot the diagnosis?

(844) A patient has come with epilepsy he has vascular naevi on the face . Spot the diagnosis?

(845)  A patient has come who has epilytic fits . On examination there are white spots on the trunks and limbs and sebaceous oedema on the face. Spot the diagnosis ?

(846) A patient has come with recurrent attacks of fits . He has sixth crenial nerve palsy .

(847) A patient of epilepsy has come. On clinical examination there is nothing abnormal only the intracranial pressure is raised . Spot the diagnosis?

(848) A patient of epilepsy has come his cell - count of CSF is very high . Spot the diagnosis?

(849) The total protein of CSF of a patient of epilepsy is greater than 100mg per 100ml of CSF . Spot the diagnosis?

(850) A patient has come with facial palsy with herpes zoaster of external auditary canal . Spot the diagnosis?

Answers 

(841) Her breast was removed wrongly for carcinoma breast but it was a case of neurofibroma of the breast .

(842) Neurofibroma of the brain .

(843) Embolism .

(844) Sturge-weber syndrome.

(845) Tuberous sclerosis.

(846) Epilepsy is due to raised intracranial pressure.

(847)Expanding intracranial lesion . what

(848) An infective process in the brain .

(849) Intracranial tumour.

(850) Ramsay hunt syndrome.

Spot the diagnosis 811-830

(811) An old man has come with multiple sebaceous cyst on the scalp . The prominent cyst is ulcerated and fungated . Spot the diagnosis?

(812) An infant has been brought with cellulitis near the  knee joint . Spot the diagnosis?

(813) An adult patient has been brought with cellulitis of scrotum . Spot the diagnosis?

(814) A cystic swelling was removed from a patient and dissected which contained hair in pultaceous mass . Spot the diagnosis?

(815) A patient has come with a cyst which has a punctum . Spot the diagnosis?

(816) A patient has come with a cyst which is fixed to the pericranium with erosion of the bone . Spot the diagnosis?

(817) A patient has come with a cyst in the finger . He gives the history of pin-prick . Spot the diagnosis ?

(818) A patient has come with a firm and irregular elevation from the skin . The margin is pink and tender . He gives the history of burn scar . Spot the diagnosis?

(819) A lady patient has come with a rounded ,firm and elastic swelling on the dorsum of wrist joint of the size of a nut . Spot the diagnosis ?

(820) A lady has come with a swelling of nut - size on the Palmar side of wrist joint which is firm, rounded and elastic .

(821) A lady of 40 has come with a palpable pea- size swelling on the radial styloid process which is painful on passive aduction and ulner deviation . Spot the diagnosis ?

(822)  A patient has come with a cystic swelling in the palm which extends in to the forearm which is above the wrist joint . There is cross fluctuation . Spot the diagnosis?

(823) A patient has come with a thick scar which gives rise to itching . Which is  vascular and tendancy to spread . Spot the diagnosis?

(824) A baby was born. There is a naevus in the midline over the small of the back . Spot the diagnosis ?

(825) A young lady of 25 has come for the repeated attack of faintness . She has portwine stain on her chicks right side . Spot the diagnosis?

(826) A patient has come with a horn like structure from the scalp . Spot the diagnosis?

(827) A patient of head injury has come. He has palsy ,hyperpyrexia and pin - point and fixed pupil. Spot the diagnosis?

(828) A lady of 40 has come for epilepsy which start in the finger and unilateral . Spot the diagnosis ?

(829) A lady has come for locking of joints and effusion in the joint . Spot the diagnosis?

(830) A patient has come with epistaxis . There is a spider naevi on the chest and abdomen and his spleen is palpable . Spot the diagnosis?

Answers.
(811) Cock's piculiar tumour .
(812) Acute osteomyelitis.
(813)Extra vasation of urine .
(814) Dermoid cyst .
(815) Sebaceous cyst.
(816) Dermoid cyst.
(817) Implantation Dermoid .
(818) Keloid .
(819) Dorsal gangliom.
(820) Palmar gangliom .
(821) De quervan's disease.
(822) Compound Palmar gangliom ( tuberculous affection of ulner barsa ).
(823) Keloid .
(824) Spina bifida ossulta .
(825) Sturge-weber syndrome .
(826) Sebaceous horn.
(827) Pontine haemorrhage .
(828)  Jacksonian epilepsy.
(829) loose body in the joints.
(830) Cirrhosis of liver .

Spot the Diagnosis 801-810

(801) A patient has come with superficial gangrene of fingers . On clinical examination everything is normal. The surgeon prescribed X  ray neck. Spot the diagnosis? 

(802) A patient of 65 has come with dry gangrene of finger of foot which was caused paring nails. On X ray there is calcification of arterial wall. Spot the diagnosis? 

(803) A patient has come with all the features of cervical rib but on X ray there is no cervical rib seen. Spot the diagnosis? 

(804) A patient has come with an ulcer on the old burn scar, the margin is raised and everted but the progress of spreading is very slow. Spot the diagnosis? 

(805) A patient has come with an ulcer on the face just by the side of nose. The edge of the ulcer is raised and beaded. Spot the diagnosis? 

(806) A patient has come with an ulcer and the lymph node in the drainage area are stony hard and fixed to the surrounding structure. Spot the diagnosis? 

(807) A patient has come with an ulcer on Penis and his inguinal glands are firm discrete and shotty. Spot the diagnosis? 

(808) A patient has come with a sinus which is at the end of tibia. Spot the diagnosis? 

(809) A patient has come with a Deepening groove around the root of little finger of foot. Spot the diagnosis? 

(810) A patient has come with a swelling which has arousen from a lymph node. The skin over the swelling is tense and glossy with dilated cutaneous veins over it. 

Answers. 

(801) Cervical rib.

(802) Senile gangrene. 

(803) Scalenus anticus syndrome. 

(804) Marjolin's ulcer.

(805) Rodent ulcer. 

(806) Secondary deposite in the lymph gland. 

(807) Hunterian chancre. 

(808) Osteomylitis. 

(809) Ainhum. 

(810) Lymphosarcoma.

Spot the Diagnosis 791-800

(791) A patient has come with a single sinus over the ramus of lower jaw. Spot the diagnosis? 

(792) A patient has come with multiple indurated sinuses in the neck. Spot the diagnosis? 

(793) A patient has come with a sinus in the neck which looks like an ulcer and the margin is thin and undermined. Spot the diagnosis? 

(794) An adult male has come with painless paronychia. Spot the diagnosis? 

(795) An adult male has come with an ulcer on the tibia. The edge of the ulcer is punched out. Spot the diagnosis? 

(796) An adult male of 40 has come with dry gangrene of right big toe. The patient is a heavy smoker. Spot the diagnosis? 

(797) A known patient of mitral stenosis has come with gangrene of ring finger of his left hand. Spot the diagnosis? 

(798) A young female has come with ulceration of tips of fingers with severe sweating. The pulse is unaffected. Spot the diagnosis? 

(799) A patient has come with wet gangrene. He has a long history of diabetes mellitus. Spot the diagnosis? 

(800) A patient has multiple fistula on the scrotum has come. Which part should be examined throughly. Spot the diagnosis? 

Answers 

(791) Osteomylitis. 

(792) Actinomycosis.

(793) Tuberculous sinus.

(794) Morvan's disease.

(795) Syphilitic ulcer. 

(796)Burger's disease. 

(797) Embolic gangrene. 

(798)Reynaud's disease.

(799) Diabetic gangrene. 

(800) lower urinary tract.

Spot the Diagnosis 781-790

(781) A patient has severe rigors followed by severe sweating.  What is this clinical condition? 

(782) A patient has come with pain and swelling of the knee joint. On X ray of this joint, there are flex of calcification and soft tissue shadows. Spot the diagnosis? 

(783) A lady patient has come with a pinhead, small bluish point below the nail with pain. The pain is excruciating when the nail is pressed. Spot the diagnosis? 

(784) A young patient has come with a fast growing tumour. Veins over the swelling is engorged and on auscultation gives murmur like sound.

 Spot the diagnosis? 

(785) A young patient has come with an ulcer. The margin of the ulcer is undermined, thin and bluish. Spot the diagnosis? 

(786) An adult patient has come with an ulcer. The margin of the ulcer is thick perpendicular and punched out. Spot the diagnosis? 

(787) A patient  60 has come with an ulcer with raised and rolled out margin and gives the look of a cauliflower. Spot the diagnosis? 

(788) A patient has come with an ulcer on the face. The margin is raised and beaded, not everted. Spot the diagnosis? 

(789) A patient has come with greenish discharge from an ulcer with peculiar smell. Spot the diagnosis? 

(790) A young boy of 12 has come with a superficial ulcer of the skin of the face. It heals at the centre and spreads in the  periphery. Spot the diagnosis? the 

Answers 

(781) Pyemia.

(782) Malignant Synovioma. 

(783) Glomus tumour.

(784) Sarcoma.

(785) Tuberculous  ulcer. 

(786) Syphilitic ulcer. 

(787) Squamous- cell carcinoma. 

(788) Rodent ulcer.

(789) Infection by B.pyocyaneus.

(790) Lupus vulgaris.